Date Format: MM slash DD slash YYYY
Emergency Contact (EC)
Medical Information and Authorization
What information do we need to know about you to help you remain safe and healthy?
Name a person traveling on the trip whom you designate and empower to provide consent and direction for medical care on your behalf. Clicking "consent" at the bottom of this form empowers this person to act on your behalf.
Skills and Work Preferences
Pay Deposit of $100
Each participant is to submit a $100 deposit. Doing this through Omella, our secure, no-hassle, payment site, will help us manage paperwork more easily. After you submit this registration form, you will be directed to a confirmation page on which there is a link to pay your deposit using Omella. Omella accepts credit cards, Apple Pay, Google Pay, Venmo payments or checks. Your registration is not complete until payment is received.